Individual
SANDI HARTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(516) 349-2962
Mailing address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(516) 349-2962
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036151519
IL
208M00000X
Hospitalist Physician
Primary
036151519
IL
Other
Enumeration date
04/13/2015
Last updated
01/30/2024
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